Autorenverzeichnis

Wullinger, Michael; Fatrai, Agnes; Engelhardt, U.; Wagner, Diana; Zumfelde-Hüneburg, Christa

doi:10.1016/b978-343757440-5.50004-8

Cited by 1 publication

(2 citation statements)

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“…The most frequent syndrome diagnoses in SAR patients included in the trial were ‘wind-cold invading the lung’ and ‘wind-heat invading the lung’. This distribution of syndromes in SAR patients corresponds with the statements of available textbooks on the subject [7,25]. Several acupuncture points are possible for the treatment of these syndromes.…”

Section: Discussionsupporting

confidence: 74%

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A randomised multicentre trial of acupuncture in patients with seasonal allergic rhinitis – trial intervention including physician and treatment characteristics

Ortiz

Witt

Binting

et al. 2014

BMC Complement Altern Med

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BackgroundIn a large randomised trial in patients with seasonal allergic rhinitis (SAR), acupuncture was superior compared to sham acupuncture and rescue medication. The aim of this paper is to describe the characteristics of the trial’s participating physicians and to describe the trial intervention in accordance with the STRICTA (Standards for Reporting Interventions in Controlled Trials of Acupuncture) guidelines, to make details of the trial intervention more transparent to researchers and physicians.MethodsACUSAR (ACUpuncture in Seasonal Allergic Rhinitis) was a three-armed, randomised, controlled multicentre trial. 422 SAR patients were randomised to semi-standardised acupuncture plus rescue medication (RM, cetirizine), sham acupuncture plus RM or RM alone. We sent a questionnaire to trial physicians in order to evaluate their characteristics regarding their education about and experience in providing acupuncture. During the trial, acupuncturists were asked to diagnose all of their patients according to Chinese Medicine (CM) as a basis for the semi-standardised, individualized intervention in the acupuncture group. Every acupuncture point used in this trial had to be documented after each sessionResultsAcupuncture was administered in outpatient clinics by 46 (mean age 47 ± 10 years; 24 female/ 22 male) conventionally-trained medical doctors (67% with postgraduate specialization such as internal or family medicine) with additional extensive acupuncture training (median 500 hours (1st quartile 350, 3rd quartile 1000 hours with 73% presenting a B-diploma in acupuncture training (350 hours)) and experience (mean 14 years in practice). The most reported traditional CM diagnosis was ‘wind-cold invading the lung’ (37%) and ‘wind-heat invading the lung’ (37%), followed by ‘lung and spleen qi deficiency’ (9%). The total number of needles used was higher in the acupuncture group compared to the sham acupuncture group (15.7 ± 2.5 vs. 10.0 ± 1.6).ConclusionsThe trial interventions were provided by well educated and experienced acupuncturists. The different number of needles in both intervention groups could be possibly a reason for the better clinical effect in SAR patients. For future trials it might be more appropriate to ensure that acupuncture and sham acupuncture groups should each be treated by a similar number of needles.Trial registrationClinicalTrials.gov: NCT00610584.

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Section: Discussionsupporting

confidence: 74%

“…The consensus procedure revealed the following result: Acupuncturists were requested to diagnose all their patients according to CM and to document the individual syndrome diagnosis for each patient from a given sample of possible diagnoses as the basis for an individualized, semi-standardised treatment in the acupuncture group [7]. …”

Section: Methodsmentioning

confidence: 99%